Pediatric anesthesia and neurotoxicity: what the radiologist needs to know
Related Experiment Video
Updated: Mar 3, 2026

Adaptation of Microelectrode Array Technology for the Study of Anesthesia-induced Neurotoxicity in the Intact Piglet Brain
Published on: May 12, 2018
Katherine Barton1, Joshua P Nickerson2, Timothy Higgins1
1Department of Radiology, The University of Vermont College of Medicine, 111 Colchester Ave, Burlington, VT, 05401, USA.
Insights
Pediatric anesthesia use for MRI is increasing. This review examines anesthesia
Area of Science:
- Pediatric radiology
- Neuroscience
- Anesthesiology
Background:
- Cross-sectional imaging, especially MRI, is increasingly used in children.
- Motion artifacts necessitate sedation or anesthesia for pediatric imaging.
- Concerns exist regarding anesthesia's potential long-term cognitive effects in children.
Purpose of the Study:
- To review current knowledge on anesthesia's impact on pediatric development and cognition.
- To explore strategies for mitigating anesthesia-related risks in pediatric imaging.
Main Methods:
- Literature review of studies on pediatric anesthesia and neurodevelopment.
- Analysis of current understanding of anesthesia's effects on cognitive outcomes.
- Discussion of technological and imaging strategies to minimize risks.
Main Results:
- Growing evidence suggests potential links between pediatric anesthesia exposure and long-term cognitive deficits.
- Radiologists can implement strategies to reduce anesthesia exposure and its potential risks.
Conclusions:
- Further research is needed to fully understand anesthesia's long-term effects in children.
- Radiologists should consider advanced imaging techniques and sedation protocols to minimize potential harm.
Abstract:
The use of cross-sectional imaging in the pediatric population continues to rise, particularly the use of MRI. Limiting motion artifact requires cooperative subjects who do not move during imaging, so there has been an increase in the need for pediatric sedation or anesthesia. Over the last decade, concern has increased that exposure to anesthesia might be associated with long-term cognitive deficits. In this review we report current understanding of the effects of anesthesia on the pediatric population, with special focus on long-term developmental and cognitive outcomes, and suggest how radiologists can use new technologies or imaging strategies to mitigate or minimize these potential risks.
More Related Videos
Related Concept Videos
Parenteral Anesthetics: Overview
Inhalational Anesthetics: Overview
Local Anesthetics: Adverse Effects
Once absorbed into the systemic circulation, local anesthetics can affect the organs that depend on the functioning of sodium...
Radiological Investigation III: Pulmonary Angiogram and PET Scan
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
General Anesthesia: Overview
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
Radiological Investigation I: X-ray and CT

